The Health problem that I have identified in Northeast Bronx, New York, is Diabetes Mellitus (DM). DM results from the body’s inability to produce insulin (Type 1) or to respond appropriately to insulin (Type 2) or gestational diabetes (pregnancy). Insulin is a hormone, which is essential for glucose absorption by cells. Type 2 diabetes accounts for ninety to ninety five percent of all analysed cases. In 2001 it was the fifth prominent cause of death i.e., fifty-three deaths, with a rate of twenty five per one hundred thousand people. It was also the seventh foremost cause of adult hospitalization, admissions totalling five hundred and thirteen with a rate of three hundred and fifty three per one hundred thousand people. Twelve percent of adults had diabetes in 2002. On the 25th of April, 2013, Northeast Bronx was ranked the fourth highest neighborhood with diabetic rates of thirteen point nine percent. (Community Health Profiles)
The physical factors in my community contributing to DM are community size and industrialization. Supermarkets, fast food restaurants and other establishments are ubiquitous which, highly endorses the accessibility of unhealthy foods such as, high sugar/calorie beverages. Consumption of these foods may result in obesity or overweight. The vast amount of diabetic patients in this community has allowed for limited resources and access to quality health care treatment. This industrialization has resulted in urbanization, with large parks that are not within walking distance for most residents and small parks with limited recreational areas. Thus resulting in overcrowding which often restricts people’s use and participation in outdoor activities such as walking or jogging. This diminution in physical activit...
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...a not-for profit privately operated entity run acute care hospital. Jacobi Medical Centre is a local/municipal government run acute care hospital. Services offered by both includes: outreach, educational and exercise programs, diet, nutrition counselling; diabetes self-management training and follow up care.
Works Cited
Community Health Profiles. "Take Care New York." December 2006. February 2014 .
—. The Health of Northeast Bronx. New York City: New York City Department of Health and Mental Hygiene, 2006.
"Health infrastructure plan." 2007. Bronx county,New York. February 2014 .
New York City Department. "The Health of Norteast Bronx." 2003. NYC. February 2014 .
One of the most crucial health problems affecting the people of Kern County is diabetes. The risk factors include: being over the age of 45 years old, having high blood pressure, having pre-diabetes, coming from an ethnic minority or low income household, smoking, being overweight or obese, physical inactivity, and eating less than five fruits and vegetables a day. Diabetes is a chronic medical condition where people identify themselves with irregular quantities of blood glucose, which can be a cause from deficiencies in the making of insulin. There are two types of diabetes that people are diagnosed with. The first one is known as Type 1 diabetes, which has to do with influences in your genetics, and Type 2 diabetes, which is brought on by choices in your daily routine. Gestational diabetes occurs while you are pregnant, and if it is not monitored well pregnant women can develop Type 2 diabetes within 5-10 years (Diabetes in C...
Diabetes Programs: The Scripps Whittier Diabetes Institute Experience. Curr Diab Rep Current Diabetes Reports, 14(2). Doi:10.1007/s11892-013-0462-0
A person’s health along with the health of a community are influenced heavily by the social determinants of health. These determinants create a strong foundation for a healthy and proper development of a community (Public Health Agency of Canada, 2013). Further, a proper foundation will allow the children within the community to develop properly, which will foster their potential for intellectual and physical intelligence. This paper will explore the effects of healthy childhood development, personal health practices and coping skills, health services and income and social statuses with in the Maple Leaf neighbourhood. Further, this paper will explore how the above social determinants of health directly affect the students of St. Fidelis school. Lastly, this paper will explain how the rise in cavities within these children is an issue as well as approached to overcome this issue.
Jost, Kenneth. “Diabetes Epidemic: why is this serious disease on the increase?” The CQ Researcher (March 9, 2001): 185-200
The term “public/community health” often brings to mind sparkling clear clean water and fresh clean air. The reason for that mental image is that both are required in order for one to have good public/community health. In actuality, the term “Public Health” has been defined as “the protection and improvement of the health of the public through community action, primarily by governmental agencies” (Public Health, 2016). However, public health includes any and all actions taken to maintain and improve the general health of a community. Government health programs provide most of the public health services. In addition, many voluntary health agencies receive contributions to battle specific diseases, such as HIV and cancer. These agencies not only provide medical services, they campaign for health legislation, and make important contributions to health education. In the United States, the Public Health Service administers the government’s public health programs. State and local health departments also provide a wide range of
Socio-economic class or socio-economic status (SES) may refer to mixture of various factors such as poverty, occupation and environment. It is a way of measuring the standard and quality of life of individuals and families in society using social and economic factors that affect health and wellbeing ( Giddens and Sutton, 2013). Cockerham (2007 p75) argues: ‘Social class or socioeconomic status (SES) is the strongest predictor of health, disease causation and longevity in medical sociology.’ Research in the 1990s, (Drever and Whitehead, 1997) found out that people in higher SES are generally healthier, and live longer than those in lower SES.
Social Determinants of health is the “conditions in which people are born, live, work and age that affect their health” Healthypeople.gov. (2017). Social Determinants of Health | Healthy People 2020. [online] Available at: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health [Accessed 22 Sep. 2017]. The determinants of health are important because it helps create policies to make changes, as well as improving public health conditions by addressing the different health outcomes an individual can face and improving the need for healthier conditions. Healthy People 2020 organizes the determinants of health in both a social and physical determinant which has an impact on health.
Addiction can be defined as the use of a drug or stimulus that has unreasonably taken control of a person’s behaviour. (Scollo & Winstanley 2012). It is a serious and complex issue hence the social determinants of health need to be addressed to the community and be used to guide nurses with knowledge to use in the nursing practice. Addiction to drug use has contributed to thousands of deaths, social and family disruption, violence, crime and workplace issues. In 2013, over 40% of Australians consumed alcohol, smoked tobacco or used illicit drugs at risky levels making them more likely to become addicted. (Claydon et. al 2014) The population in remote areas were found to be, twice as likely to have an addiction to tobacco, alcohol and drugs
Social hierarchy and conditions within a community has a direct impact on the health and wellness of the people that reside within the boundaries of that city. Major contributors to the welfare of a neighborhood include but are not limited to: the area in which they live, their social standing within the population and the income of the individual or family. Each factor has a severe influence on the life expectancy of the peoples within the society.
Public health as it is implicated in the lives of the community – it is important to conceptualise what this might mean. Moreover, public health has seen as a multidiscipline perspective in which it can be defined on many levels, and I find that it could be elusive to understand its meaning. By simple understanding of public health, I refer to an approach derived by Winslow (1920) and Baggott (2000).
The health of an individual and their communities is affected by several elements which combine together. Whether an individual is healthy or not, is determined by their circumstances and environment.1 To a greater extent, factors such as where an individual lives, their relationships with family and friends, the state of their environment, income, genetics and level of education all have significant impacts on health, however the more frequently considered factors such as access and use of health care facilities regularly have less of an impact.6 Determinants of health is a term which was introduced in the 1970s as part of a broader analysis of research and policy on public health. Researchers argued that there was a lot of attention and too much expenditure on health being dedicated to individuals and their illnesses, and little or no investment in populations and their health. It was decided that public health should be more concerned with social policies and social determinants than with health facilities and the outcomes of diseases.7 The determinants of health include social and economic environment, physical environment and an individual’s behaviour and characteristics. The environment of an individual determines their health, holding responsible an individual for having poor health or acknowledging them for good health is inappropriate. Individuals are not likely to be able to control several of the determinants of health. These determinants that make individuals healthy or not include the factors above, and numerous others.6
Zimmet, P., K.G. Alberti, and J. Shaw.2001. Global and societal implications of the diabetes epidemic. Nature 414 (December 13): 782-86
In conclusion, diabetes is a serious disease and can be life threatening. With the right research and implementation of new studies diabetes can be reduced among the populations. We as a people need to realize this epidemic and all get together and beat it. Restaurants need to stop putting chemicals and unnecessary fats in their food. Not only diabetics but everyone should educate themselves on what is going in your body when you eat. Also, exercising and getting off the couch, in children, needs to be addressed and that alone would help reduce diabetes in the younger population. I can’t stress enough on education. If you know what you are eating or how you are exercising you protect yourself from poor health and live a great life. Type 2 diabetes can be dwindled down with a conscious individual and group effort.
Public Health Nursing (PHN) aims to improve the wellbeing of the population by promoting health and preventing disease among all people in the communities (Public Health Nursing, 2013). The PHN utilizes the primary, secondary, and tertiary prevention to help improve the health of the communities. The PHN process is applied to all levels of practice. Interventions are “actions take on behalf of individuals, families, systems, and communities to improve or protect health status” (Stanhope & Lancaster, 2012, p. 191). This paper will identify PHN interventions such as screening, outreach, and referral and follow-up, health teaching, and counseling that was identified in the PHN in the 21st Century project that this author completed as part of the PHN experience. This paper will also identify if the interventions were at the community, system or individual/family level.
What is your idea of a healthy community? Provide specific examples. What do healthy communities have in common? How would you provide care for a community if your idea of a healthy community does not match your community 's definition of a healthy community?